Organization
NORTH CENTRAL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGALA R SWANSON CRNA (PRESIDENT/OWNER)
(712) 490-9704
Entity
Organization
Contact information
Practice address
4405 HAMILTON BLVD, SIOUX CITY, IA 51104-1140
(712) 239-3937
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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